Theta P Gribbins, PHD is a
Psychologist - Clinical based in Saint Charles, Missouri. Theta P Gribbins is licensed to practice in Missouri (license number 2011037832) and her current practice location is
60 Hill Pointe Ct Ste 206, Saint Charles, Missouri. She can be reached at her office (for appointments etc.) via phone at
(636) 493-9912.
NPI number for Theta P Gribbins is 1003192535 and her current mailing address is 60 Hill Pointe Ct Ste 206, Saint Charles, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003192535.
Healthcare Provider's Profile
| Full Name | Theta P Gribbins |
|---|
| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 60 Hill Pointe Ct Ste 206, Saint Charles, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1003192535
- Provider Enumeration Date: 10/28/2011
- Last Update Date: 10/08/2012
Medical Identifiers
Medical identifiers for Theta P Gribbins such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003192535 | NPI | - | NPPES |
| 232812942 | Other | MO | SAINT LOUIS BEHAVIORAL MEDICINE INSTITUTE |
| 46-0760135 | Other | MO | ST CHARLES PSYCH TESTING & THERAPY |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 2011032755 (Missouri) | Secondary |
| 103TC0700X | Psychologist - Clinical | 2011037832 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Theta P Gribbins is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Theta P Gribbins, PHD
60 Hill Pointe Ct Ste 206,
Saint Charles, MO 63303-4099
Ph: (636) 493-9912 | Theta P Gribbins, PHD
60 Hill Pointe Ct Ste 206,
Saint Charles, MO 63303-4099
Ph: (636) 493-9912 |
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